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  1. poopprincess

    New Grad in LTAC

    You are going to learn so much! I did it for 8 mo and I didn't realize how much I knew until I left. You will work with central lines, IV's, G-tubes, feeding tubes, pts. on artificial nutrition, ventilators, total cares, extensive (unstagable wounds), codes, telemetry, cardiac drips, heparin drips, and multi-system organ failure. It is very fast paced and the pts. are SICK. Most people don't realize exactly what LTAcs do. I can't tell you how many people thought it was just LTC and it if not even close to that! I like my new position but it was mistake because the pts. aren't as sick. I feel as if I took a step back, but it is making me look good because I have a lot of knowledge and skills compared to the other nurses. Hoping to transfer to ICU in 6 mo. Anyways-it is stressful and chaotic at first but stick it out for at least 6 mo. You will be able to go anywhere afterwards, but then again you may want to stay. Just don't make the mistake I did and not realize the skills you build there. I down played myself majorly in my interview because I was a new grad and didn't know just how far I had come. That was my only position as a nurse and I didn't have anything to reference until now. GOOD LUCK!
  2. poopprincess

    ATI RN Comprehensive Predictor

    I failed it. Twice. Luckily my school only used it as a measuring tool and I could still graduate. I took Kaplan and passed NCLEX 1st try with 75 questions. So IMO, not a good predictor. **During the program ATI counted as 10% of our total grade. I always made 2-3 on those. There was something about that stupid comprehensive predictor that I just couldn't get! lol
  3. poopprincess

    Why can't I get it!

    Yes it is spit! My bad. Thank you for correcting my typo. :)
  4. poopprincess

    Best one sentence handoff report

    Mr. J is sitting in bed being Mr. J.
  5. poopprincess

    Peripheral Line Not for ABT?

    I've given vanc through an PIV. If that is their only line then I use it and just monitor it as I would when infusing anything. Sounds to me like you came across an anal nurse who pitched a hissy for no reason. Sorry that you are so stressed out over it, I hope it gets better.
  6. poopprincess

    diluting IV push meds

    I dilte most everything, unless specifically stated otherwise. Nothing that I ever give says not to. We have 10 cc prefilled syringes so I squirt out the amount of med I am drawing up and draw the med to equal 10 cc. I basically do the exact same thing turnforthenurseRN does. :)
  7. poopprincess

    Rocephin Infusions..

    I work in LTAC and we infuse Rocephin all of the time. Usually pts. with a infection come to us for a 6 week regimen. I would assume they are more worried about knocking out the infection vs the side effects, especially if they have endocarditis. We have a lot of resp. pts. on the vent so usually they get it with other abx depending on their situation. Ceftriaxone Injection - PubMed Health However, if it waas a concern then they could put them on Fosamax or some other 'bone saving' med to offset the side effects.
  8. poopprincess

    Why can't I get it!

    Anticholinergics inhibit nerve impulse activity of the parasympathetic nervous system. If you remember your A&P, the PNS acts on digestion, urination, salivation and lacrimation. PNS 'rest and digest' which is opposite of sympathetic 'fight or flight.' An ex. of their use may be bladder spasms. Major common side effects are that they dry you up because they inhibit the PNS. So the way that I learned to remember it was: Can't see Can't pee Can't sit Can't s*** Maybe not the most professional rhyme, but it helped me numerous times on my nursing school exams. Hope this helps. :)
  9. poopprincess

    Do you think about...

    My favorite is when I go into their room and they pooped and stuck their hand in it because they 'weren't sure if they had gone or not.' I really do earn my user name. lol Usually I don't worry about it. I always wear gloves when touching any of the patients. I work with a lot of respiratory patients who are incontinent and have a ton of infected wounds. I'm more concerned with my own hands than theirs. :)
  10. poopprincess

    1st week on job and absolutely hate it!!

    The grass is not always greener on the other side. It also may just be anxiety that makes you hate it. Most new grads hate their jobs in the beginning, I did too. Seriously, the learning curve is so steep and it's stressful. Plus school pretty tells you that giving a freaking bed bath wrong may kill someone. j/k Anyways-chalk it up, get as much experience as you can and look in about 6 mo. or so. I would consider this 'resume building' and if you still hate it in 6 mo. then move on.
  11. poopprincess

    Is anybody else tired of the nurse practitioner craze?

    I have a family member who prefers the NP to the MD. I think they def serve a purpose in healthcare. As long as they are experienced I think they are great. The only thing I disagree with on the "NP craze" are the programs that allow nurses to go straight in without any bedside experience. I think that nurses having goals to further their education is a wonderful thing, as long as they understand what they are getting themselves into and they see it as a true calling. Sure, you can get some sorry NP's, but you can also get some sorry MD's too.
  12. poopprincess

    I love my ambulence runs!

    Have fun! I would be excited to get to do something different as well. I hope you find yourself a hot paramedic! LOL :)
  13. poopprincess

    Resume Questions!

    I do want to add if you do choose to leave it out I would at least put in a cover letter or condense on your resume to at least show the floors you were on and which hospitals you were at. The reason is because hospitals are partial to students who did their clinicals there. Also, ex. if you were on a tele/CVSU floor then they may be partial to at least interviewing you because you did your clinicals on tele, and are familiar with what you are applying for. I do agree that you really are selling yourself in the cover letter, but you sell yourself in your resume too. Especially if you attend any job fairs where you may have 8-9 different floors that are hiring. The hospitals in my area didn't tell us which floors would be present so I had a very generalized cover letter at the job fairs. I called HR to try to find out and they wouldn't give me the info. What got the NM to pay attention to my resume was my clinical experience. When there are 250 applicants for 3 spots, having that experience on paper for them to see gives you an upper-hand. I guess it depends on the situation. If you apply for a single position directly then the cover letter is a great selling point.
  14. poopprincess

    Resume Questions!

    I think that the 'Anticipated 2013' is good advice. However, I am on the opposite side of the fence concerning clinical experience on a resume. I put it on mine and I have successful in landing interviews and my current position with it. As a new grad, I layed each clinical out as a job and put the things that were unique to that rotation. Ex. in psych I was able to be in ECT. I put in IV's, maintained an airway after the procedure and re-oriented the pt. Not everyone gets to do that, so I put it on there. I didn't have any healthcare experience going in so my clinicals were all I had to make me shine. I used that and all of my volunteer exp. I landed three interviews after school off that resume so it worked in my favor. Now that I have a full-time position, I condensed all of my clinicals into one and picked out the most unique experiences. Then I added my other non-healthcare jobs and used all the transferable skills to sell myself. Once I land a new full-time postion and I have a variety of experience I will remove it completely. I guess it's up to you, but for me it has worked out just fine using them.
  15. poopprincess

    Interview: Let the waiting game begin

    Hi! I had an interview at a hospital that I have been trying to get into for a while. I am super excited and I really hope that they call me for a second one with the NM. I previously found out they were hiring by over hearing a conversation amongst my co-workers. I got the name and email of the NM by texting a friend of mine who works at the hospital. She looked it up in the employee directory for me and sent the info. I sent a cover letter and they wanted the interview. It went well and I feel like my personality was able to shine. I prepared for a wk. for this. I studied info as if I was taking a final. Those of you looking for a job, don't be afraid to be pro-active if there is something that you really want. I was nervous about sending my cover letter to the NM because I didn't know if they would be receptive or not. It def. worked in my favor. I don't have a position promised, yet. But I got my foot in the door and that is a start. WOO-HOO! Let the waiting game begin.